S&K Dental Management, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

052851 Issued in NY

Legal business name

S&K DENTAL MANAGEMENT, PLLC

Practice address

630 Courtlandt Ave
Bronx, NY 10451-5005

Phone

(718) 993-4300

NPI assigned

Dec 15, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Steive Kim, DDSNPI 1508989013

Title

Owner

Phone

(718) 993-4300

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steive Kim, DDS

  • General Practice Dentistry
  • Bronx, NY
  • NPI 1508989013
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1235645060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226A 8TH ST",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076504030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 COURTLANDT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515005",
            "telephone_number": "718-993-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&K DENTAL MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STEIVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-993-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02850342",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAQUEST",
            "identifier": "9199151",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S-a Drug Corp (Leptis)
• S.M.N. Health and Beauty Corp. (SMN Pharmacy)
• S.R.Belvis Diag.&Treatment Center
• S&B Dental Group, P.C. (3rd Ave Dental)
• S&I Right Choice Pharmacy Inc
• Gianinna Jandy Saa, OD
• Laudrey Saa
• Lorna Perez Saa, RPT
• Ahmed M Saad, MD
• Eathar A Saad, MD

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.